[Continence in the orthotopic ileal bladder. Personal experience].
During 1989-1996 the authors selected after radical cystoprostatectomy on account of carcinoma in 43 men continent orthotopic derivation of urine. To create a neovesica the authors used a detubulized loop of the terminal ileum shaped in different modifications. The neovesica was connected with the urethra. After a time interval of 6-12 months they assessed anamnestically the continence and made a complete urodynamic study with uroflowmetry in 25 patients. After a 6-month time interval following operation they observed a significant instability of the neovesica. After 9-12 months all patients had a high-capacity low-pressure pouch. 90% of the patients were satisfied with the state of continence. The percentage of fully continent patients was higher in daytime (80%) than during the night (46%). Incontinence of varying extent (8-10%) was resolved satisfactorily by modern aids for incontinence.
Morávek
P
P
Urologická klinika LF UK a FN, Hradec Králové.
Hafuda
A
A
Prosvic
P
P
Veselský
Z
Z
D000368:Aged; D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent
Kontinence u ortotopického ileálního mĕchýre. Vlastní zkusenosti.